go back

Moderate-Complexity Genetic Analysis

Alaska rates for HCPCS 81403

This genetic test analyzes a specific inherited gene change of moderate testing complexity. It's used when the gene involved doesn't have its own dedicated, individually named test, so a standardized level of testing is used instead based on the complexity of the analysis required. It helps confirm or rule out a specific genetic condition being considered by a doctor or genetic counselor.

Rates data updated July 2026.

How much does Moderate-Complexity Genetic Analysis cost?

$417

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $417 for this service. The price depends on where it is billed: about $417 from a physician practice, and about $631 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$417$186 to $603
FacilityA hospital or hospital-owned outpatient department$631$186 to $891

How much rates vary

Facilitymedian $631 · 10th to 90th $186 to $1,950Professionalmedian $417 · 10th to 90th $100 to $617
$100$200$500$1K$2Kfacility $631professional $417

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,288.25
Typical High
$2,187.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$549.54
Typical High
$776.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$616.60
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$602.56
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$691.83
Typical High
$741.31
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$416.87
Typical High
$416.87
Providence
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$512.86
Typical High
$891.25
Providence
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$186.21
Typical High
$562.34

Where Alaska sits

The same service costs 4.2 times more in Alaska than in Vermont. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Alaska· 1st of 51

$417

AK $417VT $100

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.